| NPI | 1780572651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESIA APRIL SAMOAN CHANCE Owner 910-785-0519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 342000000X | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 177F00000X Lodging | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |